The Occupational Safety and Health Administration (OSHA) had issued a final rule to curb lung cancer, silicosis, chronic obstructive pulmonary disease, and kidney disease in America’s workers by limiting their exposure to respirable crystalline silica. The rule is comprised of two standards, one for Construction and one for General Industry and Maritime. Both standards contained in the final rule took effect on June 23, 2016, after which industries have to comply with most requirements based on the following schedule:

CONSTRUCTION: SEPTEMBER 23, 2017
GENERAL INDUSTRY: JUNE 23, 2018
MARITIME: JUNE 23, 2018
HYDRAULIC FRACTURING: JUNE 23, 2018

(Two years after the effective date for all provisions except Engineering Controls, which have a compliance date of June 23, 2021.)

OSHA specifies that the exam conducted by the physician must include the following:

  • A review of the patient’s “medical and work history”
  • A “physical examination with special emphasis on the respiratory system”
  • A “chest x-ray interpreted and classified according to the International Labor Office (ILO) International Classification of Radiographs of Pneumoconiosis by a NIOSH-certified B Reader”
  • A “pulmonary function test administered by a spirometry technician with a current certificate from a NIOSH-approved course”
  • “Testing for latent tuberculosis”
  • “Any other tests deemed appropriate” by the healthcare provider

History & Physical
Pulmonary Function Test
Chest X-Ray — 1 View — With B-Read
T-Spot Blood Test / TB Skin Test
Respiratory Questionaire A&B